Physician Assistants & Advanced Practice Nursing Providers (658) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Physician Assistants & Advanced Practice Nursing Providers
CLASSIFICATION
Clinical Nurse Specialist
AREA OF SPECIALIZATION
Psychiatric/Mental Health, Child & Adolescent
STATUS
Active
VA CODE
V100326
X12 CODE
364SP0807X
SPECIALTY CODE
89
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5253461
EFFECTIVE DATE/TIME
2018-04-02 15:35:23
STATUS: ACTIVE
